NJ PREVENTIVE HEALTH EDGE MEDICAL PC
NPI 1578353835
General Practice in Marlton, NJ

Active since May 09, 2025
525 ROUTE 73 N STE 117, MARLTON, NJ 08053(917) 310-5621 Get Directions Write a Review

NPPES record last updated: May 13, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: May 13, 2025, May 9, 2025 (2 updates tracked since 2025).

About Nj Preventive Health Edge Medical Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NJ PREVENTIVE HEALTH EDGE MEDICAL PC (NPI 1578353835) is a healthcare organization registered as a general practice in Marlton, New Jersey and active in the NPI registry since May 2025. The organization lists Benjamin Stein, President, as its authorized official.

NPPES Registry Identity

NPI1578353835
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameNJ PREVENTIVE HEALTH EDGE MEDICAL PC
Location Address525 ROUTE 73 N STE 117Marlton, NJ 08053-3422
Mailing Address525 Route 73 N Ste 117Marlton, NJ 08053-3422
Organization SubpartNo
Authorized OfficialBenjamin SteinPresident · (917) 310-5621
Enumeration DateMay 9, 2025
Last NPPES UpdateMay 13, 20252 updates tracked since enumeration
NPPES CertifiedMay 13, 2025
✔ NPI 1578353835 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedRegistered Nurse · General PracticeTaxonomy 163WG0000X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X
525 ROUTE 73 N STE 117, Marlton, NJ 08053

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nj Preventive Health Edge Medical Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Nj Preventive Health Edge Medical PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1841450012
1275 YORK AVE
New York, NY 10065
(212) 639-6660
✔ PECOS✔ Accepts Medicare80 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nj Preventive Health Edge Medical PC's NPI number?

The NPI number for Nj Preventive Health Edge Medical PC is 1578353835. It was assigned to this organization in the NPPES registry on May 9, 2025.

Where is Nj Preventive Health Edge Medical PC located?

Nj Preventive Health Edge Medical PC is located at 525 Route 73 N Ste 117, Marlton, NJ 08053. The listed phone number is (917) 310-5621.

What is Nj Preventive Health Edge Medical PC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Nj Preventive Health Edge Medical PC enrolled in Medicare?

Yes. Nj Preventive Health Edge Medical PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Nj Preventive Health Edge Medical PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Nj Preventive Health Edge Medical PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Nj Preventive Health Edge Medical PC was last updated on May 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.